Normal diurnal variation in serum cortisol concentration in asthmatic children treated with inhaled budesonide

1995 ◽  
Vol 96 (6) ◽  
pp. 874-878 ◽  
Author(s):  
Benjamin Volovitz ◽  
Arieh Kauschansky ◽  
Moshe Nussinovitch ◽  
Liora Harel ◽  
Itzhak Varsano
Keyword(s):  
Diurnal Variation ◽  
Serum Cortisol ◽  
Cortisol Concentration ◽  
Asthmatic Children ◽  
Inhaled Budesonide ◽  
Serum Cortisol Concentration

Platelet Function in Surgical Stress

1985 ◽  
Vol 54 (04) ◽  
pp. 849-852 ◽  
Author(s):  
O Naesh ◽  
J T Friis ◽  
I Hindberg ◽  
K Winther
Keyword(s):  
Stress Response ◽  
Negative Correlation ◽  
Surgical Stress ◽  
Plasma Concentrations ◽  
Serum Cortisol ◽  
Cortisol Concentration ◽  
Pulmonary Dysfunction ◽  
Arterial Po2 ◽  
Elective Cholecystectomy ◽  
Serum Cortisol Concentration

SummaryTen patients for elective cholecystectomy were studied pre-, per- and postoperatively. All had neurolept anesthesia. Plasma concentrations of β-TG, TXB2 and 5-HT and intraplatelet 5-HT were measured. Aggregation to ADP was recorded.Serum cortisol concentration was used as index of the stress response, showing peroperative increase and postoperative decrease. Closely related to this we observed a significant increase in P-β-TG and P-TXB2 with postoperative normalization in 6 patients without complications. P-5-HT had a peak peropera-tively and remained elevated postoperatively. A negative correlation between P--5-HT and decreasing intraplatelet 5-HT postoperatively was observed.High postoperative levels of P--5-HT seem to be related to low arterial Po2 and pulmonary dysfunction. In 3 patients with complications a second increase in P-β-TG, P-TXB2 and partly in P--5-HT was found. Platelets were temporarily refractory to ADP immediately following surgery and showed increased aggregabil-ity postoperatively. We conclude that platelets are activated in surgical stress.

Serum cortisol concentration in patients with major depression after treatment with clomipramine

2009 ◽  
Vol 61 (4) ◽  
pp. 604-611 ◽  
Author(s):  
Jadwiga Piwowarska ◽  
Małgorzata Wrzosek ◽  
Maria Radziwoń-Zaleska ◽  
Beata Ryszewska-Pokraśniewicz ◽  
Michał Skalski ◽  
...  
Keyword(s):  
Major Depression ◽  
Serum Cortisol ◽  
Cortisol Concentration ◽  
Serum Cortisol Concentration

scholarly journals Performance and serum cortisol concentration in Santa Inês lambs under different suckling schemes

2016 ◽  
Vol 45 (9) ◽  
pp. 546-553
Author(s):  
Ana Carolina Alves ◽  
Nadja Gomes Alves ◽  
Ivan Júnior Ascari ◽  
Felipe Barbosa Junqueira ◽  
Luciana França Smith Maciel ◽  
...  
Keyword(s):  
Serum Cortisol ◽  
Cortisol Concentration ◽  
Santa Inês ◽  
Serum Cortisol Concentration

Reproducibility of the cortisol response to stimulation with a low dose of ACTH(1–24): the effect of basal cortisol levels and comparison of low-dose with high-dose secretory dynamics

1993 ◽  
Vol 136 (1) ◽  
pp. 167-172 ◽  
Author(s):  
S. Crowley ◽  
P. C. Hindmarsh ◽  
J. W. Honour ◽  
C. G. D. Brook
Keyword(s):  
Cortisol Level ◽  
Low Dose ◽  
Standard Dose ◽  
Serum Cortisol ◽  
Cortisol Concentration ◽  
Acth Stimulation ◽  
Basal Cortisol ◽  
Basal Cortisol Level ◽  
Adrenal Response ◽  
Serum Cortisol Concentration

ABSTRACT We compared the reproducibility and repeatability of the acute adrenal response to low doses (90 and 500 ng/1·73 m2) of Synacthen (ACTH(1–24)) with that of the standard dose (250 μg/1·73 m2). We also examined the effect of basal cortisol levels on peak values achieved after stimulation with a low dose. ACTH(1–24) was given to six male volunteers: 90 ng/1·73 m2 twice at 90-min intervals on day 1, and 90 and 500 ng/1·73 m2 once on day 2 and 250 μg/1·73 m2 once on day 3. The rise in serum cortisol concentration with repeated low doses of ACTH was not attenuated (161 ± 49 (s.d.) nmol/l on initial vs 150 ± 41 nmol/l on repeat stimulation; P = 0·5) and this was reproducible (161 ± 49 nmol/l on day 1 vs 148 ± 15 nmol/l on day 2; P = 0·6). A dose of 500 ng ACTH(1–24)/1·73 m2 produced a maximal adrenal response in that the rise in serum cortisol concentration at 20 min was identical with that produced at the same time by the standard dose of 250 μg/1·73 m2. There was a strong positive correlation between the basal cortisol level and peak cortisol concentration after low-dose ACTH stimulation (r = 0·93, P < 0·001) but not between the basal cortisol level and the incremental rise (r= −0·1, P = 0·69). These results suggest that the cortisol response to low-dose ACTH stimulation is reproducible and not attenuated by repeat stimulation at 90-min intervals. The incremental rise in serum cortisol concentration after ACTH stimulation appears constant in these situations and is not influenced by the basal cortisol level. When there is concern that the standard dose may be excessive and mask subtle but important changes in adrenal function, the low dose (500 ng) of ACTH should be used. Journal of Endocrinology (1993) 136, 167–172

Serum cortisol concentration in patients with major depression after treatment with fluoxetine

2012 ◽  
Vol 198 (3) ◽  
pp. 407-411 ◽  
Author(s):  
Jadwiga Piwowarska ◽  
Aneta Chimiak ◽  
Halina Matsumoto ◽  
Anna Dziklińska ◽  
Maria Radziwoń-Zaleska ◽  
...  
Keyword(s):  
Major Depression ◽  
Serum Cortisol ◽  
Cortisol Concentration ◽  
Serum Cortisol Concentration

scholarly journals Endocrine Dysfunction Criteria in Critically Ill Children: The PODIUM Consensus Conference

PEDIATRICS ◽  
2022 ◽  
Vol 149 (Supplement_1) ◽  
pp. S84-S90
Author(s):  
Vijay Srinivasan ◽  
Jan Hau Lee ◽  
Kusum Menon ◽  
Jerry J. Zimmerman ◽  
Melania M. Bembea ◽  
...  
Keyword(s):  
Critically Ill ◽  
Thyroid Function ◽  
Glucose Homeostasis ◽  
Data Extraction ◽  
Serum Cortisol ◽  
Cortisol Concentration ◽  
Critically Ill Children ◽  
Endocrine Dysfunction ◽  
Adrenal Axis ◽  
Serum Cortisol Concentration

CONTEXT Endocrine dysfunction is common in critically ill children and is manifested by abnormalities in glucose, thyroid hormone, and cortisol metabolism. OBJECTIVE To develop consensus criteria for endocrine dysfunction in critically ill children by assessing the association of various biomarkers with clinical and functional outcomes. DATA SOURCES PubMed and Embase were searched from January 1992 to January 2020. STUDY SELECTION We included studies in which researchers evaluated critically ill children with abnormalities in glucose homeostasis, thyroid function and adrenal function, performance characteristics of assessment and/or scoring tools to screen for endocrine dysfunction, and outcomes related to mortality, organ-specific status, and patient-centered outcomes. Studies of adults, premature infants or animals, reviews and/or commentaries, case series with sample size ≤10, and non–English-language studies were excluded. DATA EXTRACTION Data extraction and risk-of-bias assessment for each eligible study were performed by 2 independent reviewers. RESULTS The systematic review supports the following criteria for abnormal glucose homeostasis (blood glucose [BG] concentrations &gt;150 mg/dL [&gt;8.3 mmol/L] and BG concentrations &lt;50 mg/dL [&lt;2.8 mmol/L]), abnormal thyroid function (serum total thyroxine [T4] &lt;4.2 μg/dL [&lt;54 nmol/L]), and abnormal adrenal function (peak serum cortisol concentration &lt;18 μg/dL [500 nmol/L]) and/or an increment in serum cortisol concentration of &lt;9 μg/dL (250 nmol/L) after adrenocorticotropic hormone stimulation. LIMITATIONS These included variable sampling for BG measurements, limited reporting of free T4 levels, and inconsistent interpretation of adrenal axis testing. CONCLUSIONS We present consensus criteria for endocrine dysfunction in critically ill children that include specific measures of BG, T4, and adrenal axis testing.

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